[Ureteral stenosis in pancreatitis. Role and value of the double J tube].
One case of right ureteral stenosis due to a flow of necrosis from an acute lithiasic pancreatitis, treated with the insertion of a double J tube, is reported. 14 cases of ureteral stenosis following pancreatitis have been found in the literature. They occur whatever the severity of pancreatitis and can either reveal it or, on the contrary, be asymptomatic. The ureteral lesions are of three kinds: compression by a pseudocyst of the pancreas, sheathing of the ureter and "ureteritis" in the flows of necrosis, necrosis of the ureteral wall. The management of these ureteral stenoses involves treating both the pancreatitis and the obstruction, according to its type. In cases of compression or sheathing of the ureter, ureteral endoprostheses inserted in an early stage allow maintaining the patency of the ureter during the healing phase. In case of ureteral necrosis, nephrostomy, then ureteral resection prove to be necessary.
Janin
P
P
Service d'Urologie, Hôpital Bretonneau, Tours.
Haillot
O
O
Vannier
J
J
Berton
C
C
Lanson
Y
Y
D000368:Aged; D006801:Humans; D008297:Male; D010195:Pancreatitis / Q000150:complications*; D014057:Tomography, X-Ray Computed; D014517:Ureteral Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D014546:Urinary Catheterization
Les sténoses urétérales au cours des pancréatites. Place et intérêt de la sonde double J.